<div class="form-group">
    <label for="id" class="col-sm-2 control-label"></label>
    <div class="col-sm-10">
        #@textInput("text","receiver.id","id","请输入...",receiver.id??'')
    </div>
</div>
<div class="form-group">
    <label for="create_time" class="col-sm-2 control-label">创建时间</label>
    <div class="col-sm-10">
        #@textInput("text","receiver.create_time","create_time","请输入创建时间...",receiver.create_time??'')
    </div>
</div>
<div class="form-group">
    <label for="modify_time" class="col-sm-2 control-label">更新时间</label>
    <div class="col-sm-10">
        #@textInput("text","receiver.modify_time","modify_time","请输入更新时间...",receiver.modify_time??'')
    </div>
</div>
<div class="form-group">
    <label for="address" class="col-sm-2 control-label">详情地址</label>
    <div class="col-sm-10">
        #@textInput("text","receiver.address","address","请输入详情地址...",receiver.address??'')
    </div>
</div>
<div class="form-group">
    <label for="province" class="col-sm-2 control-label">省</label>
    <div class="col-sm-10">
        #@textInput("text","receiver.province","province","请输入省...",receiver.province??'')
    </div>
</div>
<div class="form-group">
    <label for="city" class="col-sm-2 control-label">市</label>
    <div class="col-sm-10">
        #@textInput("text","receiver.city","city","请输入市...",receiver.city??'')
    </div>
</div>
<div class="form-group">
    <label for="area" class="col-sm-2 control-label">区</label>
    <div class="col-sm-10">
        #@textInput("text","receiver.area","area","请输入区...",receiver.area??'')
    </div>
</div>
<div class="form-group">
    <label for="status" class="col-sm-2 control-label">状态</label>
    <div class="col-sm-10">
        #@textInput("text","receiver.status","status","请输入状态...",receiver.status??'')
    </div>
</div>
<div class="form-group">
    <label for="is_default" class="col-sm-2 control-label">是否为默认</label>
    <div class="col-sm-10">
        #@textInput("text","receiver.is_default","is_default","请输入是否为默认...",receiver.is_default??'')
    </div>
</div>
<div class="form-group">
    <label for="mobile" class="col-sm-2 control-label">姓名</label>
    <div class="col-sm-10">
        #@textInput("text","receiver.mobile","mobile","请输入姓名...",receiver.mobile??'')
    </div>
</div>
<div class="form-group">
    <label for="name" class="col-sm-2 control-label">手机号</label>
    <div class="col-sm-10">
        #@textInput("text","receiver.name","name","请输入手机号...",receiver.name??'')
    </div>
</div>
<div class="form-group">
    <label for="zip_code" class="col-sm-2 control-label">邮编</label>
    <div class="col-sm-10">
        #@textInput("text","receiver.zip_code","zip_code","请输入邮编...",receiver.zip_code??'')
    </div>
</div>
<div class="form-group">
    <label for="member_id" class="col-sm-2 control-label">会员id</label>
    <div class="col-sm-10">
        #@textInput("text","receiver.member_id","member_id","请输入会员id...",receiver.member_id??'')
    </div>
</div>
<div class="form-group">
    <label for="area_detail" class="col-sm-2 control-label">详细地址</label>
    <div class="col-sm-10">
        #@textInput("text","receiver.area_detail","area_detail","请输入详细地址...",receiver.area_detail??'')
    </div>
</div>
<div class="form-group">
    <label for="province_code" class="col-sm-2 control-label">省代码</label>
    <div class="col-sm-10">
        #@textInput("text","receiver.province_code","province_code","请输入省代码...",receiver.province_code??'')
    </div>
</div>
<div class="form-group">
    <label for="city_code" class="col-sm-2 control-label">市代码</label>
    <div class="col-sm-10">
        #@textInput("text","receiver.city_code","city_code","请输入市代码...",receiver.city_code??'')
    </div>
</div>
<div class="form-group">
    <label for="area_code" class="col-sm-2 control-label">区代码</label>
    <div class="col-sm-10">
        #@textInput("text","receiver.area_code","area_code","请输入区代码...",receiver.area_code??'')
    </div>
</div>
<div class="form-group">
    <div class="col-sm-offset-8 col-sm-10">
        <button type="button" id="submitBtn" class="btn btn-primary">点我保存</button>
        <input type="hidden" name="receiver.id" value="#(receiver.id??'')" id="id">
    </div>
</div>